28954 902 E. Estates Dr.
CITY OF SAN JOSE BUILDING DEPARTMENT
APPLICATIONp� FOR WILDING PERMIT
Date_..--..........{ Permit No...... ---------
Application is hereby made for a permit to-:-........Z"oI 'P...............................................
a.-- -/ - story. TYPe -----f --__------------------------------------------------Building
GAR
at -7-a"201.... = :.. ..... .. . . .. . . .... ............ ------------------------------
to
- - ...................to be occupied only as....--....I--..-.65W.G. S-: �-_---- .-.-
in accordance with Plans, Specifications and Plot-plan filed herewith.
Estimated Value of Improvements, $.............1 J..ocQ
It is hereby agreed that the requirements of the San Jose Building and Zoning Ordinances and all other laws
applicable to the construction, location, and use of buildings within the City of San Jose, will be complied with.
VISTA MANOR BUILDERS INC. Qi ,t•T,�fU��...i3�-(gip.
Owner - - i........................ Address ��...-/ - -
Y (,.. --..... Address.`5�-.. Plefll?$Q-...- �,hYL
By-------- .... i
� Contractor, Agent
Fwm MI
RECORD OF INSPECTION
C/��1 i J-D/IJ. - Frame .. �I—/�/S�' JDM
Founda+ion -........... ...........
/J- -
Sh'cco-........................................................----...... Fines' {shy!.../zz
- ....
too
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